Behavioral Interventions for Migraine

Andrea Pérez-Muñoz; Dawn C Buse; Frank Andrasik

doi:10.1016/j.ncl.2019.07.003

Behavioral Interventions for Migraine

Neurol Clin. 2019 Nov;37(4):789-813. doi: 10.1016/j.ncl.2019.07.003. Epub 2019 Aug 22.

Authors

Andrea Pérez-Muñoz¹, Dawn C Buse², Frank Andrasik³

Affiliations

¹ Department of Psychology, University of Memphis, 400 Innovation Drive, Memphis, TN 38152, USA. Electronic address: aperez1@memphis.edu.
² Department of Neurology, Albert Einstein College of Medicine of Yeshiva University, 1250 Waters Place, Bronx, NY 10461, USA; Clinical Health Psychology Doctoral Program, Ferkauf Graduate School of Psychology of Yeshiva University, 1165 Morris Park Avenue, Bronx, NY, USA. Electronic address: https://twitter.com/dawnbuse.
³ Department of Psychology, University of Memphis, 400 Innovation Drive, Memphis, TN 38152, USA.

PMID: 31563233
DOI: 10.1016/j.ncl.2019.07.003

Abstract

Biobehavioral interventions for migraine incorporate both physiologic and psychological factors. This article details treatments for migraine management and prevention, ranging from traditional to newly emerging interventions. Similarly, this article reviews key person-related factors that may affect migraine prevalence and management. Aspects related to patient-physician relationships and communication are also reviewed. Research involving childhood and adolescent migraine is reviewed, and special considerations regarding this population are summarized. Clinical trials and other studies have provided evidence that these behavioral interventions, when combined with pharmacotherapy, show a marked improvement in primary treatment outcomes, such as a decrease in headache frequency and duration.

Keywords: Behavioral management; Behavioral medicine; Biobehavioral interventions; Biofeedback; Cognitive behavior therapy (CBT); Headache; Migraine; Relaxation training (RT).

Publication types

Review

MeSH terms

Behavior Therapy / methods*
Biofeedback, Psychology / methods*
Clinical Trials as Topic / methods
Cognitive Behavioral Therapy / methods
Humans
Migraine Disorders / diagnosis
Migraine Disorders / psychology*
Migraine Disorders / therapy*
Physician-Patient Relations
Relaxation Therapy / methods*
Relaxation Therapy / psychology*
Treatment Outcome